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Healthcare Documentation for Digital Nomad Freelancers

Requirement Overview

Freelance digital nomads applying for the Spanish Digital Nomad Visa (DNV) must prove they have adequate healthcare coverage. According to the Ministry of Foreign Affairs (Ley 28/2022), applicants must hold a private health insurance policy that provides coverage in Spain equivalent to the National Health System.

Why It Is Needed

Under the Startup Law (Ley 28/2022), non-EU remote workers and freelancers must ensure they do not become a burden on the Spanish public healthcare system during their initial residency. This is a mandatory eligibility criterion for the visa or residency permit approval.

Satisfying Evidence

To satisfy this requirement, freelancers must provide:

  • A certificate from a private insurance company authorized to operate in Spain.
  • The policy must offer full coverage (hospitalization and emergencies) without co-payments (sin copagos) and without waiting periods (sin carencias).
  • Documented proof of payment for the premium.

Legalization and Translation

  • Apostille: Generally, insurance certificates issued by Spanish entities do not require an apostille. If using a foreign policy (which must provide equivalent Spanish coverage), the document may require legalisation.
  • Translation: If the policy or certificate is not in Spanish, a Sworn Translation (Traducción Jurada) is typically mandatory to ensure the terms meet the Ministry's standards.

Common Pitfalls

  • Co-payments: Policies with 'copagos' are frequently rejected by the UGE/Consulate.
  • Travel Insurance: Standard travel insurance or 'digital nomad' plans that only cover emergencies are insufficient; the policy must match the Spanish National Health System's scope.
  • Social Security: While freelancers will eventually register with Seguridad Social (RETA) to become 'autónomos', private insurance is required for the initial application phase.